Society for Excellence in Education and Knowledge

Society for Excellence in Education and Knowledge

A FINAL YEAR
MEDICAL
STUDENT’S GUIDE
Rank Order Lists and Check Lists

DR. MUHAMMAD
ZAMAN KHAN ASSIR
Edited by:
Waqar Azeem
Ahmad Faraz Tarar
MEDICINE
RANK ORDER OF TOPICS OF MEDICINE IN ORDER OF IMPORTANCE
FOR SEND UP AND ANNUAL EXAMINATION

NUMBER OF QUESTIONS FROM EACH UNIT

This table shows number of questions that are asked in the written
examination.

NO. OF
SR.NO. NAME OF UNIT PAPER
QUESTIONS
1. Cardiovascular System 02
2. Pulmonary Medicine 01
3. Central Nervous System 01
4. Gastrointestinal System 02 M1
5. Liver, Pancreas, Gall Bladder 01
6. Blood 01
7. Rheumatology 01
8. Infectious Diseases 02
9. Endrocrinology & Diabetes 02
10. Renal & Acid Base Balance 02 M2
11. Psychiatry 02
12. Dermatology 01
GIT
1 ST ORDER:
1. Upper GIT bleed
2. H. pylori & associated peptic ulcer disease
3. Inflammatory bowel disease esp. Ulcerative colitis
4. GERD
5. CELIAC DISEASE
6. Irritable bowel syndrome

2 nd ORDER:
7. Malabsorption syndromes. ( all)

3 rd ORDER:
8. Acute pancreatitis

LIVER
1ST ORDER:
1. Hepatic encephalopathy
2. Fulminant hepatic failure
3. Ascites
4. Portal hypertension
5. HBV & HCV – Diagnosis and management
6. Chronic liver disease

2nd ORDER:
1. Investigating a jaundiced patient
2. Hepato renal syndrome
3. Wilson’s disease

3rd ORDER:
1. Sclerosing cholangitis
2. Primary billiary cirrhosis
3. Autoimmune hepatitis
4. Bud Chiarri syndrome
5. Hemochromatosis

4th ORDER:
1. Liver abscess
CVS
1 st ORDER :
1. Acute MI
2. Chest pain
3. Acute dyspnoea
4. Acute pulmonary edema
5. CCF
6. Atrial fibrillation
7. Mitral regurgitation
8. Hypertrophic cardiomyopathy
9. Mitral stenosis
10. Acute rheumatic fever
11. Infective endocarditis
12. Pericarditis & cardiac tamponade
13. Pulmonary thromboembolism

2 nd ORDER:
1. Hypertension
2. Sudden cardiac arrest
3. Aortic dissection

3 rd ORDER:
1. Aortic regurgitation
2. Aortic myxoma

INFECTIONS
1st ORDER:
1. Pyrexia of unknown origin
2. Enteric fever
3. Malaria
4. Tuberculosis
5. Tetanus
6. Meningitis
7. Streptococcal infection
8. Clostridial infections
9. Acute diarrhea
10. General aspects of HIV/AIDS
2 nd ORDER:
1. Chicken pox
2. Infectious mononucleosis
3. Dengue fever
4. Diphtheria
5. Hookworm infection
6. Measles
7. STD’s

3 rd ORDER:
1. Pneumocystis carnii

ENDOCRINOLOGY AND METABOLISM

1st ORDER:
1. Addison’s disease
2. Myxedema ( especially myxedema coma)
3. Hyperthyroidism
4. Acromegaly
5. Cushing Syndrome
6. Pheochromocytoma
7. Sheehan’s syndrome / Panhypoparathyroidism
8. Metabolic syndrome X
9. Hyperlipidemias

2nd ORDER:
1. Thyroiditis
2. Diabetes Insipidus
3. Thyrotoxicosis & Pregnancy
4. Hypoglycemia

3rd ORDER:
1. MEN syndrome
2. Hyperparathyroidism
3. Porphyrias
DIABETES
1st ORDER:
1. Definition
2. Diabetic ketoacidosis
3. Complications of diabetes
4. Diabetic neuropathy (especially autonomic neuropathy)

2nd ORDER:
1. Non-ketotic hyperosmolar coma

RENAL
1st ORDER:
1. Chronic renal failure
2. Acute renal failure
3. Renal replacement therapy
4. Tubulo-nterstitial nephritis

2 nd ORDER:
1. Nephrotic syndrome (genral)
2. Nephrotic syndrome
3. Proteinuria
4. Renal artery stenosis
5. Post streptococcal glomerulonephritis
6. IgA nephropathy & Henoch-Shonlein purpura
7. Membranous glomerulonephritis

ACID BASE & ELECTROLYTES

1st ORDER:
1. Hyponatremia
2. Hypokalemia & hyperkalemia
3. Hypeprcalcemia
4. Interpretation of acid-base balance
2nd ORDER:
1. Metabolic acidosis & alkalosis

PSYCHIATRY
1st ORDER:
1. Schizophrenia
2. Bipolar disorder
3. Anxiety disorder (panic attacks)
4. Conversion disorders
5. Dementia

2nd ORDER:
1. Somatization disorder
2. Delirium

3rd ORDER:
1. Personality disorders

HEMATOLOGY
1st ORDER:
1. Investigating anemic patients
2. Iron deficiency anemia
3. Megaloblastic anemia
4. Acute myeloblastic leukemia
5. ITP
6. Multiple myloma
7. Aplastic anemia

2nd ORDER:
1. Lymphoma
2. Splenomegaly
3. TTP
4. Paroxysmal nocturnal hemoglobinuria
5. Hereditary spherocytosis
6. Thalassemia
7. Hemophilia
8. Von Willibrand disease
9. DVT
CNS
1st ORDER:
1. Meningitis
2. Stroke
3. Epilepsy (especially status epilepticus)
4. Guillian-Barre syndrome
5. Myasthenia gravis
6. Parkinson’s disease

2nd ORDER:
1. Multiple sclerosis
2. Headache (especially migraine)
3. Transverse myelitis
4. Encephalitis

3rd ORDER:
1. Space occupying lesion
2. Cerebral venous thrombosis
3. Motor neuron disease
4. Trigeminal neuralgia

RESPIRATION
1st ORDER:
1. COPD
2. Acute asthma
3. Community acquired pneumonia
4. Bronchiactasis
5. Pleural effusion
6. Acute dyspnOea & hemoptysis
7. Pulmonary thromboembolism
8. Artificial respiration & assisted ventilation

2nd ORDER:
1. Sarcoidosis
2. Fibrosing alveolitis

3rd ORDER:
1. Bronchogenic carcinoma
RHEUMATOLOGY
1st ORDER:
1. Rheumatoid arthritis
2. Osteoarthritis
3. SLE
5. Ankylosing spondylitis
6. Gout
7. Giant cell arthritis
8. Reactive arthritis

2 nd ORDER:
1. Septic arthritis
2. Other seronegative spondyloarthropathies
3. Wegner’s & polyartritis nodosa
4. Other vasculitis

3 rd ORDER:
1. Systemic sclerosis
2. Polymyositis
3. Polymyalgia Rheumatica

DERMATOLOGY
1st ORDER:
1. Scabies
2. Eczema
3. Psoriasis
4. Acne vulgaris

2nd ORDER:
1. Skin bacterial infections
2. Fungal infection
3. Erythema nodosum
4. Pyoderma gangreonosum
5. Blistering diseases

3rd ORDER:
1. Bullous pemphigoid
2. Pemphigus vulgaris
Surgery

RANK ORDER OF TOPICS OF SURGERY IN ORDER OF IMPORTANCE FOR

SEND UP AND ANNUAL EXAMINATION

NUMBER OF QUESTIONS FROM EACH UNIT

This table shows number of questions that are asked in the written
examination.

NO. OF
SR.NO. NAME OF UNIT
QUESTIONS
1. GIT & Abdomen 04
2. Urology 02
3. Breast 01
4. Thyroid & Other Endocrine 01
5. Thoracic 01
6. Cardiac 01
7. Head & Neck & Oropharyngeal 01
8. Neurosurgery 01
9. Orthopedics 01
10. Vascular Surgery 01
11. Traumatology 01
GIT & ABDOMEN

OESOPHAGUS
1ST ORDER:
1. Esophageal carcinoma
2. Corrosive injury
3. Esophageal perforation
4. Achalasia cardia

2nd ORDER:
1. GERD (complication & treatment)
2. Hiatus hernia

STOMACH & DUODENUM

1ST ORDER:
1. Peptic ulcer & it’s complications especially perforation
2. Gastric outlet obstruction & Hypertrophic pyloric stenosis
3. Gastric carcinoma

LIVER
1st ORDER:
1. Liver abcess (Pyogenic & Amaebic)
2. Hydatid cyst

2 nd ORDER:
1. Hepatic trauma

3 rd ORDER:
1. Surgical treatment of portal hypertension
SPLEEN
1st ORDER:
1. Splenic trauma
2. Spleenectomy (Indications, Procedure, Prophylaxis &
Complications)

2nd ORDER:
1. Spleenomegaly

GALLBLADDER AND BILE DUCT2

1st ORDER:
1. Acute cholecystitis
2. Gallstones & its complications
3. Ascending cholangitis
4. Choledocholithiasis

2nd ORDER:
1. Causes of obstructive jaundice
2. Bile duct injury

PANCREAS
1st ORDER:
1. Acute pancreatitis
2. Pseudopancreatic cyst

2nd ORDER:
1. Carcinoma of head of pancreas
2. Chronic pancreatitis
3. Zollinger-ellison syndrome & Gastrinoma

SMALL AND LARGE INTESTINES

1st ORDER:
1. Colorectal carcinoma

2
Consult Cushairy for under given topics of this chapter.
 2. Ulcerative colitis
3. Intestinal tuberculosis
4. Typhoid perforation

2nd ORDER:
1. Meckel’s diverticulum
2. Stomas

INTESTINAL OBSTRUCTION
1st ORDER:
1. General complications and management
2. Acute intussusception
3. Volvulus
4. Paralytic ileus
5. Acute abdomen and its causes

VERMIFORM APPENDIX
1st ORDER:
1. Acute appendicitis
2. Appendicectomy

2nd ORDER:
1. Carcinoid tumor

RECTUM
1 st ORDER:
1. Rectum carcinoma
2. Rectal prolapse

ANAL CANAL
1st ORDER:
1. Hemorrhoides
2. Anal fissures
3. Pilonidal sinus
4. Fistula in ano
 5. Anorectal abscess

2nd ORDER:
1. Imperforate anus

HERNIA AND ABDOMINAL WALL

1st ORDER:
1. Burst abdomen and incisional hernia
2. Progressive post operative bacterial synergistic gangrene
3. Strangulated hernia
4. Surgical anatomy of inguinal canal

2 nd ORDER:
1. Inguinal hernia

3 rd ORDER:
1. Epigastric hernia
2. Umblical and paraumblical hernia
3. Femoral hernia (rare)

PERITONEUM
1st ORDER:
1. Acute peritonitis

2 nd ORDER:
1. Tuberculosis peritonitis
2. Mesenteric cysts
3. Tuberculosis of mesenteric lymph nodes

3 rd ORDER:
1. Pseudomyxoma peritonei

UROLOGY
1st ORDER:
1. Hematuria
 2. Renal cell carcinoma
3. Benign prostatic hyperplasia
4. Urethral injuries
5. Renal, ureteric and vesical stones
6. Testicular tumors
7. Acute urinary retention
8. Renal trauma
9. Hydronephrosis
10. Testicular tortion
11. Surgical anatomy of prostate

2 nd ORDER:
1. Wilm’s tumor
2. Carcinoma of bladder
3. Varicocele
4. Hydrocele
5. Fournier’s gangrene (scrotum)

3 rd ORDER:
1. Renal tubercuslosis
2. Ureteric injuries
3. Diverticulae of bladder
4. Prostatic carcinoma
5. Circumcision

THORAX
1st ORDER:
1. Tension pneumothorax
2. Chest trauma and chest intubation
3. Thoracotomy
4. Flail Chest

2nd ORDER:
1. Empyema
2. Hemothorax
CARDIAC SURGERY
1st ORDER:
1. Cardiopulmonary bypass
2. Cardiac temponade
3. Aortic dissection

2nd ORDER:
1. Valvular disease (From Ellis)

BREAST
1st ORDER:
1. Breast carcinoma
(Staging, Management according to age & stage)

2nd ORDER:
1. Fibroadenoma

3rd ORDER:
1. Gynaecomastia

ENDOCRINE
1st ORDER:
1. Multinodular goiter
2. Carcinoma thyroid
3. Solitary thyroid nodule
4. Thyroidectomy (Indications,procedure,complications)
5. Pheochromocytoma

2nd ORDER:
1. Hyperparathyroidism
OROPHARYNGEAL
1st ORDER:
1. Carcinoma tongue
2. Pleomorphic adenoma
3. Submandibular gland carcinoma
4. Complication of salivary gland surgery
5. Cleft lip & cleft palate
6. Tuberculous lymphadenitis
7. Mandibular trauma

2 nd ORDER:
1. Plunging ranula
2. Sialadenitis

3 rd ORDER:
1. Types of neck dissection (from CSDT)
2. Maxillary fractures

ORTHOPEDICS
1st ORDER:
1. General orthopedics (complete)
2. Fracture of
a. Lower end of humerus
b. Lower end of radius
c. Neck of femur
d. combined fracture of tibia & fibula
3. Dislocation of hip joint

2nd ORDER:
1. Osteosarcoma & briefly other tumors
2. Chronic osteomyelitis

NEUROSURGERY
1st ORDER:
1. Head injury
2. Extradural hematoma
3. Subdural hematoma
 4. Cervical spine injury
5. Types of nerve injury
6. Radial & ulnar nerve palsy

2nd ORDER:
1. Subarachnoid haemorrhage
2. Spine injuries
3. Median nerve palsy

VASCULAR SURGERY
1st ORDER:
1. Acute limb ischemia
2. Gangrene
3. Buerger’s disease
4. Deep vein thrombosis

2nd ORDER:
1. Varicose veins
2. Lymphoedema

3rd ORDER:
1. Amputation

TRAUMATOLOGY
1st ORDER:
1. ATLS
2. Blunt abdominal trauma
3. Exploratory laparotomy
4. Diagnostic peritoneal lavage

Note: For other topics of General surgery Consult

“General Surgery by Abdul Wahab Dogar ’’
GYNAECOLOGY & OBSTETRICS

O BSTETRICS

PHYSIOLOGICAL CHANGES IN PREGNANCY

1ST ORDER
1. Systemic changes (volume homeostasis, blood, cvs)
2. Endocrinological changes

2ND ORDER
3. Remaining whole chapter (important)

ANTENATAL CARE
1ST ORDER
1. Antenatal visits
2. Antenatal history and examination

ANTENATAL IMAGING AND ASSESSMENT OF FETAL

WELL BEING
1ST ORDER
1. Diagnostic ultrasound (esp. features during 3rd trimester)
2. CTG
3. Biophysical profile scoring
PRENATAL DIAGNOSIS
1ST ORDER
1. Diagnosis of down’s syndrome
2. Comparison of various pre-natal diagnostic procedures

2ND ORDER
3. Neural tube defects
4. Congenital heart defects

3RD ORDER
5. Remaining chapter

ANTENATAL OBSTETRIC COMPLICATIONS

1ST ORDER
1. Hyperemesis gravidarum
2. APH Antepartum Hemorrhage (Placenta previa,
Abruptio placentae)
3. ECV

2 ND ORDER
4. Minor disorders of pregnancy
5. UTI
6. Venous thromboembolism
7. Oligo and Polyhydroamnios
8. Rh iso-immunization

3 RD ORDER
9. Abdominal pain in pregnancy

TWIN AND MULTIPLE GESTATIONS

1ST ORDER
1. Definition
2. Classification
3. Complication
DISORDERS OF PLACENTATION
1ST ORDER
1. Placenta previa
2. Placental apruption
3. PIH (Pregnancy Induced Hypertension) and Eclampsia
4. IUGR (Intra-Uterine Growth Retardation)

PRETERM LABOUR
1ST ORDER
1. Causes and Management

MEDICAL DISORDERS
1ST ORDER
1. Anemia
2. Thyroid dysfunction
3. Hypertension
4. Diabetes Mellitus

2 ND ORDER
5. Heart disease

3 RD ORDER
6. Epilepsy
7. Perinatal infections (infection screening during
pregnancy)

NORMAL LABOUR
1ST ORDER
1. Physiology of labour (dimensions)
2. Definition of 3 stages of labour
3. Management of all 3 stages of labour (esp. active
management)
4. Partogram

2ND ORDER
5. Mechanism of labour
ABNORMAL LABOUR
1ST ORDER
1. Breech presentation
2. Obstructed labour and fetal distress
3. The Bishop scoring
4. Induction of labour
5. Assisted delivery (forceps, ventouse)

2 ND ORDER
6. Pain relief in labour and different types of anaesthesia
7. Episiotomy and C-Section
8. Deep transverse arrest and transverse lie

3 RD ORDER
9. Perineal tears
10. Shoulder dystocia

PUERPERIUM
1ST ORDER
1. PPH
2. Puerperial pyrexia
2ND ORDER
3. Breast disorders
4. Post partum psychosis
5. APGAR score
Obstetrics’ ‘Most Wanted’ Topics

1) APH
2) PPH
3) Management of 3rd stage of labour
4) Breech presentation
5) Obstructed labour
6) Pre-eclampsia
7) Anemia and DM in pregnancy
8) Puerperial pyrexia
9) IUGR
10) Systemic changes during pregnancy
11) Obstetric ultrasound
12) Antenatal visits and prenatal diagnosis of down’s syndrome
13) Biophysical profile scoring
G YNAECOLOGY

1ST ORDER
1. Amenorrhoea
2. Menorrhagia (esp. fibroid uterus)
3. Infertility
4. Contraception
5. Abortion (esp. septic abortion)
6. Endometeriosis and adenomyosis
7. CA cervix
8. Ovarian CA
9. Endometrial CA
10. UV (Utero-Vaginal) prolapse
11. Abnormal vaginal discharge
1. Vaginal candidiasis
2. Bacterial vaginosis
3. Trichomoniasis
12. Post menopausal syndrome and HRT
13. Hysterectomy
14. Dilatation & Curratage
15. Laparoscopic surgery

2 ND ORDER
16. Urodynamic stress incontinence
17. Detrouser over activity
18. Normal menstrual cycle
19. Benign tumors of ovary
20. Bartholin cyst and other vaginal cysts
21. Manchester repair

3 RD ORDER
22. Vulval CA
P EDIATRICS

IMMUNIZATION
1ST ORDER:
1. EPI Schedule
2. Details of all vaccines in EPI schedule

2ND ORDER:
1. Meningococcal vaccine
2. H.Influenza vaccine
3. Pneumococcal vaccine

3RD ORDER:
1. Typhoid vaccine
2. Passive immunization

CNS
1 ST ORDER:
1. Meningitis
2. Epilepsy
3. Febrile fits
4. Cerebral palsy
5. Cerebral malaria

2 nd ORDER:
1. Encephalitis
2. G.B syndrome

3 rd ORDER:
1. Hydrocephalus
2. SOL esp. intracranial tumours and brain abscess
3. Acute stroke
 4. Floppy infant

CVS
1 ST ORDER:
o Tetrology of fallot
2. Ventricular septal defect
3. Patent ductus arteriosus
4. Atrial septal defect
5. CCF
6. Infective endocarditis

2 nd ORDER:
7. Transposition of great vessels

3 rd ORDER:
8. Cardiomyopathy

RESPIRATORY SYSTEM
1ST ORDER:
1. Acute respiratory infection severity classification
2. Pneumonia
3. Bronchial asthma
4. Bronchiolitis

2 ND ORDER
1. Bronchiectasis
2. Croup & Acute epiglottitis

3 RD ORDER
1. Pneumothorax
2. Pleural effusion

GIT & LIVER

1st ORDER:
1. Acute diarrhea
2. Celiac disease
2ND ORDER
1. Hepatomegaly
2. Acute and chronic hepatitis
3. IBD

HEMATOLOGY AND ONCOLOGY

1st ORDER:
1. Thalassemia
2. Aplastic anemia
3. Hemophilia
4. ALL and Hodgkin’s lymphoma
5. Von Willibrand’s disease
6. ITP

2 nd ORDER:
1. AML
2. Non Hodgkin’s lymphoma
3. Causes of Hepatomegaly and Splenomegaly
4. Iron deffecieny anemia
5. Megaloblastic anemia

3 RD ORDER
1. DIC

ENDOCRINE AND GENETICS

1st ORDER:
1. Cretinism
2. Down’s syndrome
3. Diabetic ketoacidosis
4. Rickets

2 nd ORDER:
5. Wilson’s disease

3 RD ORDER
6. Glycogen storage diseases
7. Mucopolysaccharidosis ( esp. Hurler syndrome)
8. Congenital adrenal hyperplasia
NEPHROLOGY
1st ORDER:
2. Post streptococcul glomerulonephritis
3. Nephritic syndrome and proteinuria

2 nd ORDER:
4. ARF
5. CRF

3 rd ORDER
6. Electrolyte and acid base balance
7. Hematuria

INFECTIOUS DISEASES
1ST ORDER:
1. Rheumatic fever
2. Acute diarrhea
3. Enteric fever
4. Measles
5. Tuberculosis
6. Diphtheria
7. Tetanus
8. Malaria

2ND ORDER:
9. Poliomyelitis
10. Chicken pox
11. Pyrexia of Unknown Origin

3RD ORDER
12. Worm infestation
13. Mumps

NEONATOLOGY
1ST ORDER:
1. Jaundice neonatorum
2. Prematurity
3. Neonatal sepsis
 4. Perinatal asphyxia
5. Neonatal seizures

2ND ORDER:
6. RDS
7. Necrotizing enterocollitis
8. Intra ventricular hemorrhage
9. Hemorrhagic disease of newborn

3RD ORDER:
10. Small for gestational age
11. Hypocalcaemia

NUTRITION
1ST ORDER:
1. Malnutrition ( kwashiorkor and marasmus)
2. Breast feeding

MISCELLANEOUS
1. IMCI (Integrated management of childhood illness)
Pediatrics’ ‘Most Wanted’ Topics
1. Immunization ( EPI schedule)****
2. Meningitis *****
3. Malnutrition ( Kawashiorkor & Marasmus )
4. Pneumonia
5. Acute diarrhea
6. Rheumatic fever
7. Tetrology of Fallot
8. Epilepsy & febrile fits
9. Cerebral palsy
10. Haemophillia
11. Patent ductus arteriosus
12. Ventricular septal defect and Atrial septal defect
13. Asthma
14. Cretinism
15. Down syndrome
16. Diabetic ketoacidosis
17. Post streptococcal glomerulonephritis
18. Nephritic syndrome
19. Enteric fever
20. Acute leukemias
21. Hodgkin’s disease
22. Thalassemia

FOR MCQ’S:
1. Growth and development
2. Neonatal reflexes
3. Weight according to age